How to completely cure atrophic gastritis?

Written by Jiang Guo Ming
Gastroenterology
Updated on September 22, 2024
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Chronic atrophic gastritis generally develops from chronic non-atrophic gastritis, and the most likely cause may be Helicobacter pylori infection. Of course, there are also other reasons, such as poor dietary habits, emotional factors, etc. In such cases, it is first necessary to check for Helicobacter pylori infection, usually using a breath test. If Helicobacter pylori infection is present, quadruple therapy is generally used for eradication treatment. Eradication of Helicobacter pylori can be very helpful for patients with atrophic gastritis, and in some cases, can partially reverse the atrophy. If there is no Helicobacter pylori infection, symptomatic treatment is generally the main approach. Additionally, conditioning through traditional Chinese medicine can also be very helpful. (Specific medication use should be carried out under the guidance of a doctor.)

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Written by Ren Zheng Xin
Gastroenterology
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What to do about the pain from atrophic gastritis?

Atrophic gastritis is a condition where the mucous membrane of the stomach atrophies, associated with poor neural nutrition and excessive gastric acid secretion, leading to a reduction in the barrier function of the gastric mucosa. To first alleviate pain, proton pump inhibitors can be used to reduce the secretion of gastric acid, and at the same time, gastric mucosal protectants should be used. If there is an infection with Helicobacter pylori, active use of triple or quadruple therapy should be employed to eradicate Helicobacter pylori. It is important to adjust one's diet, eat regularly, and avoid overeating. Greasy and spicy foods should be consumed less, and more bland, soft, and easily digestible foods should be eaten. (Please use medication under the guidance of a doctor.)

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Written by Jiang Guo Ming
Gastroenterology
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Is non-atrophic gastritis serious?

Chronic non-atrophic gastritis, which is commonly referred to as chronic superficial gastritis, is considered one of the milder upper gastrointestinal diseases. Endoscopic examinations usually show localized mucosal congestion and edema, which are not severe. The main cause is likely due to Helicobacter pylori infection, which can be effectively treated with antibacterial therapy. Other factors, such as exposure to cold or inappropriate dietary habits, as well as smoking and alcohol consumption, can also lead to this condition. Therefore, it is essential to pay attention to one’s dietary and living habits and try to avoid spicy and greasy foods and alcoholic beverages to prevent major issues.

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Written by Jiang Guo Ming
Gastroenterology
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Difference between atrophic gastritis and non-atrophic gastritis

Chronic gastritis includes two types: chronic non-atrophic gastritis and chronic atrophic gastritis. The symptoms of both can be similar, such as upper abdominal pain, bloating, nausea, vomiting, acid reflux, and heartburn. Chronic atrophic gastritis tends to be more severe than non-atrophic gastritis. Over the long term, atrophic gastritis may lead to symptoms like fatigue, weight loss, loss of appetite, and even anemia. The main differentiation still requires gastroscopy and pathological examination. Under gastroscopy, chronic superficial gastritis mainly shows mucosal congestion and edema. In atrophic gastritis, due to gland atrophy, the submucosal blood vessels may appear as a net-like or petal-like pattern, and sometimes the mucosa may become granular. Pathological examinations can further clarify the diagnosis.

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Written by Gong Chun
Oncology
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Can atrophic gastritis lead to gastric cancer?

The development of gastric cancer, particularly intestinal-type gastric cancer, is a multi-stage process influenced by various factors. Chronic atrophic gastritis is primarily characterized by the atrophy and reduction of gastric mucosal glands. Consequently, it often accompanies varying degrees of metaplasia in the gastrointestinal mucosal epithelium. Chronic atrophic gastritis features a reduction in B cells of the gastric glands, and the pH value of gastric juice may increase. Hence, the relationship between chronic atrophic gastritis and gastric cancer is significant, as it is considered a precancerous lesion. Therefore, if one has atrophic gastritis, it is crucial to seek timely medical treatment to prevent worsening of the condition.

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Written by Wu Hai Wu
Gastroenterology
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Can people with atrophic gastritis drink honey water?

Patients with atrophic gastritis can drink honey water. Patients with atrophic gastritis need to be careful with their diet by avoiding spicy, irritating foods, as well as overly sour, overly spicy, overly salty foods, and coarse foods. For patients with atrophic gastritis, it is important to eat regularly and in moderate amounts, opting for smaller, more frequent meals, and avoiding binge eating. Since honey water does not fall into the above categories of foods and is not considered spicy, patients with atrophic gastritis can drink honey water. However, it is also important to avoid drinking too much at once; drinking a moderate amount is fine.